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PPiMS Member consent and contact information form

Since 2016, the PPIMS Network has been a way for people with lived-living experience of mental health, alcohol and other drugs, and suicidality to share their voices and shape services in Brisbane North. Over the past 8 years, the Network has grown beyond providing a collective voice for people with lived-living experience, to offer training, regular updates, and co-design and advisory opportunities for issues within our region. The Network now includes members from across the country, expanding its reach beyond Brisbane North PHN’s footprint.

Brisbane North PHN will no longer manage the PPIMS Network. To enable its further growth, seed funding has been granted to Communify (partnering with Queensland Lived Experience Workforce Network) to work with PPIMS members to shape the function and future direction of the Network.

This survey will be used to capture your contact details, which will be provided to Communify to contact you regarding next steps for the Network’s transition. By completing this survey, you consent to the transfer of this contact information to Communify.

If you do not want to provide your information to Communify, do not fill in this survey. Your details will not be shared without this consent.

You can also contact Communify directly on 07 3510 2734.

Consent

As part of our due diligence and safe handling of data, we need your consent to share your contact details with Communify. If you wish to stay in the PPIMS network and allow Communify to contact you, please fill out the attached form with your details. Once the transition is complete, Communify will contact you with future updates and meeting dates related to PPIMS. 

If you prefer not to have your information shared, simply do not complete the form. You are also able to contact Communify directly on 07 3510 2734.

Please note that Brisbane North PHN will securely archive and remove all contact details related to the PPIMS distribution list on 31 December 2024. If you want to be contacted and remain part of the network, we ask that you submit the form by 30 December 2024.

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By checking this box, you agree to allow your information to be securely shared with Communify so you can take part in the new version of the network.

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